One time or infrequent user:     
Just complete the form below, enter the security code and click SUBMIT.

Regular user:                      
You can fill out the form below or...  
We suggest you click 'Sign Up' on the top right of the page to get an installer account. 
Then every time you log in, your name, email and company will be pre-filled out on the form and you will not have to fill out the security box.


Note:   
When you click the SUBMIT button, you will see a confirmation at the bottom of the screen and you will receive an e-mail confirmation as well.

Important:
Only Click the Submit Button ONCE and give the form a few seconds to process - you will see a confirmation message when it is accepted.  
A double click or clicking again before the confirmation will submit duplicate claims.
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Pay Claims Form

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